In a preview of the next 1000-Lb Sisters episode, Tammy Slaton reveals to her family that she's been approved for surgery, and Amy Slaton has a big reaction. Amy was the first to qualify for her gastric bypass surgery back during 1000-Lb Sisters season 1. While the surgery was successful, Amy disregarded the doctor's advice and decided to get pregnant, ruining all her hard work.
https://screenrant.com/1000-lb-sisters-tammy-family-reacts-surgery-approval/